A 93-year-old dialysis patient suffered from peripheral arterial occlusive and finally underwent a left transtibial amputation. The native arteriovenous fistulas (AVF) of patient's right arm did not function very well, so the permanent catheter (Permcath) had been reimplanted several times. All of these caused patient's negative emotions and she decided to forgo dialysis. After discussing with family, the patient's decision had been respected; we therefore transferred the patient to hospice home care. The author applied individual nursing intervention to help patient and her family to face death, state last wishes and arrange the funeral and a good death. During the nursing period from August 18th to September 15th 2014, the author used observational, communication, caring, listening skills, and combine with Roy's adaptation model to define this case problems: 1. Body image disturbance due to the left transtibial amputation. 2. Anticipatory grief related to the fact of facing death after giving up dialysis. 3. The comfort of patient at the end of life. In the process of nursing this patient, the author did a literature review to help the patient and her family to overcome those problems. By offering care information and service of keeping the cadaver intact, we reduced the body image disturbance. For anticipatory grief, we believed to help the family to express their feeling of guilty caused by this decision. Emotional supporting and accompanying were also provided in order to assist the family in taking care of the near-death patient and alleviating the patient's physical discomfort. In the end, the patient had a good death and the family was relieved by accomplishing her will.